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  Carestream Dental LLC
  3625 Cumberland Blvd. Ste. 700
Atlanta, GA 30339
US

DPMS Purchase Agreement Created Date 10/27/2022


Expiration Date 11/23/2022
Quote Number 00000003

Carestream Dental LLC('Carestream Dental LLC','we','us','our'), a limited liability company with principal offices located at
the above address presents this proposal to the customer identified below ('Customer','you','your'). This document
incorporates by reference the attached terms and conditions and detail order information and shall be a binding sales
agreement (the 'Contract') when signed by you without alteration, and shall be effective as of the date you signed
('Effective Date'). If not signed by the 'Valid until' date indicated below, this proposal shall expire.

Prepared By Audrey Doyle Contact Name Sensei Test


Phone +8009446365
Email audrey.doyle@csdental.com

Bill To Name Testing Account1 Ship To Name Testing Account1


Bill To 3625 Cumberland Blvd Ship To 3625 Cumberland Blvd
Atlanta, GA 30339 Atlanta, GA 30339
US US

Product Code Line Item Description List Price Sales Price Quantity Total Price

1759109 SENSEI CLOUD DENTAL - YELLOW BELT USD 1,000.00 USD 1,000.00 1.00 USD 1,000.00

  Total List Price USD 1,000.00


Effective Discount 0.00%
Quote Subtotal USD 1,000.00
Grand Total USD 1,000.00

*Applicable taxes will be added and are subject to change. Organizations claiming tax-exempt status must provide proof of that status on or
prior to the Effective Date.

Product Notes
Product

1759109 - SENSEI CLOUD DENTAL - YELLOW BELT

Maintenance
Items in the section below may carry additional monthly maintenance fees as indicated.

Monthly Maintenance
Product Code Line Item Description Monthly Maint Price frm Quantity Total Maintenance

1759109 SENSEI CLOUD DENTAL - YELLOW BELT USD 350.00 1.00 USD 350.00

Maintenance Totals

  Total Maintenance USD 350.00


   
  Carestream Dental LLC
  3625 Cumberland Blvd. Ste. 700
Atlanta, GA 30339
US

Quote Currency USD

Payment, Acceptance and Authorization

ACH Debit
Authorized
Bank details on file Bank details not on file

New Bank account

Account Holder Name: ____________________________

Account Number: ____________________________ Routing Number: ________________________

A voided check must be presented to us when using an ACH payment. Your signature authorizes the Company to verify your checking account
information and begin ACH debit transactions against your checking account. To terminate an ACH authorization, you must give us notice, and
we will cease ACH withdrawals within seven (7) days of receipt of that notice.

Credit Card
Authorized
Credit Card Details No card on file

New Card
Your signature authorizes the Company to begin debiting transactions against your credit card provided. To terminate a credit card
authorization, you must give us written notice, and we will cease credit card withdrawals within seven (7) days of receipt of that notice.

Billing SAP Account 0001084104


Billing Acct on File
Your signature authorizes the Company to begin debiting transactions against your billing account on file. To terminate billing account on file,
you must give us written notice, and we will cease debiting your billing account within seven (7) days of receipt of that notice.

BY SIGNING BELOW YOU AGREE, AS OF THE EFFECTIVE DATE, THAT:

YOU WILL PAY THE FEES DESCRIBED ABOVE FOR THE PRODUCTS SET FORTH IN THIS CONTRACT, AND YOUR ACH OR
CREDIT CARD LISTED ABOVE MAY BE CHARGED THE BALANCE OF THE PURCHASE PRICE FOR THE PRODUCTS
DESCRIBED ABOVE, AS WELL AS FOR APPLICABLE SALES TAX AND SHIPPING, LESS THE DEPOSIT, WHEN THE ORDER IS
SHIPPED, UNLESS OTHERWISE SET FORTH IN SECTION 2 OF THE TERMS AND CONDITIONS OF THIS CONTRACT.
YOUR ACH OR CREDIT CARD LISTED ABOVE MAY BE DEBITED MONTHLY FOR MONTHLY SUPPORT & MAINTENANCE FEES
(IF ANY) AND/OR SUBSCRIPTION FEES (IF ANY) SET FORTH ABOVE.
YOU ACCEPT THE TERMS AND CONDITIONS OF THIS CONTRACT.
YOU ARE A DULY AUTHORIZED REPRESENTATIVE OF THE CUSTOMER.

Customer Signature: ________________________________________________

Print Name:_______________________________________________________

Title: ___________________________ Signature Date: ___________________________

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